3/03 - Herman - AMPG 148, +8 286, PMPS 347

[Lisa AG]

So, Herman keeps getting quite low even with dose reductions. I am struggling to get more than 4 cycles in a row. Is he bouncing? Why the late nadirs regularly? Do I need to reduce dose, or should I get brave with shooting blue numbers?

He is fed two meals a day, at AM and PM shot time. Sometimes he gets an afternoon meal if I think he will have a late nadir but I keep missing it.

Thank you for your time and input.

 

[Bandit's Mom]

If he is getting food only with the shot, it's possible that he keeps dropping without food. Is there any way to make food available to him through the cycle (day and night) - except for the 2 hours before the shot? Ideally, you want to feed him small snacks every couple of hours in the first part of the cycle. Say PS, +2 and +4.

The other reason for later nadirs is bounce clearing. In bounce clearing cycles, the nadirs are later - some cats even nadir at the end of the cycle.

With SLGS you can shoot any number over 90. Rather than skip the shot when he has a preshot below 200 you want to shoot and get a test later in the cycle to keep him safe. You could try going down to 1U, but you do want to start shooting any number over 100 - especially if you can monitor.

Link to previous post:
https://www.felinediabetes.com/FDMB/threads/14th-feb-new-member-herman-and-lisa.274167/

 

[Lisa AG]

Thank you!